<form action="{:sysuri()}" data-table-id="FormTable" class="layui-form layui-card" data-auto="true" method="post" style="height:500px;overflow:scroll;">
<style>
    .tips {
        color: red;
    }

    .layui-form-label {
        width: 100px;
    }
</style>

<div class="wrapper">
    <div class="layui-card">

        <!--表单-->
        <div class="layui-card-body position-r">
            <div class="layui-form position-a" lay-filter="">
                <!--小票标题-->
                <div class="layui-form-item">
                    <label class="layui-form-label"><span class="tips">*</span>快递公司:</label>
                    <div class="layui-input-inline">
                        <select name="express" id="express"  placeholder="请选择快递公司" >
                            <option value="">全部</option>
                            {foreach $express as $val }
                            <option value="{$val.id}">{$val.name}</option>
                            {/foreach}
                        </select>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label"><span class="tips">*</span>模板名称：</label>
                    <div class="layui-input-inline">
                        <input type="text" name="title" lay-verify="required" lay-verType="tips" placeholder="请输入模板名称"
                               autocomplete="off" class="layui-input" value="">
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label"><span class="tips">*</span>模板编码：</label>
                    <div class="layui-input-inline">
                        <input type="text" name="tempId" lay-verify="required" lay-verType="tempId" placeholder="请输入模板编码"
                               autocomplete="off" class="layui-input" value="">
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label"><span class="tips">*</span>模板尺寸：</label>
                    <div class="layui-input-inline">
                        <input type="text" name="size" lay-verify="required" lay-verType="size" placeholder="请输入模板尺寸"
                               autocomplete="off" class="layui-input" value="">
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label"><span class="tips">*</span>模板类型：</label>
                    <div class="layui-input-inline">
                        <input type="text" name="type" lay-verify="required" lay-verType="type" placeholder="请输入模板类型"
                               autocomplete="off" class="layui-input" value="">
                    </div>
                </div>

                <div class="layui-form-item">
                    <label class="layui-form-label">子母单类型：</label>
                    <div class="layui-input-block">
                        <div class="layui-col-md4">
                            <input type="radio" name="is_child" value="1" title="主单" checked>
                            <input type="radio" name="is_child" value="0" title="子单" >
                        </div>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">几联单：</label>
                    <div class="layui-input-block">
                        <div class="layui-col-md4">
                            <input type="radio" name="num" value="1" title="快递一联" checked>
                            <input type="radio" name="num" value="2" title="快递二联" >
                            <input type="radio" name="num" value="3" title="快递三联" >
                        </div>
                    </div>
                </div>
             <div class="layui-form-item">
                    <label class="layui-form-label"><span class="tips">*</span>面单账户：</label>
                    <div class="layui-input-inline">
                        <input type="text" name="partnerId"  lay-verType="partnerId" placeholder="请输入电子面单客户账户或月结账号"
                               autocomplete="off" class="layui-input" value="">
                    </div>
                </div>
                 <div class="layui-form-item">
                    <label class="layui-form-label"></label>
                    <span style="color: #a3a3a3;font-size: 9px">电子面单账户号码，需向快递公司在贵司当地的网点申请</span>
                  </div>
                <div class="layui-form-item">
                    <label class="layui-form-label"><span class="tips">*</span>面单密码：</label>
                    <div class="layui-input-inline">
                        <input type="text" name="partnerKey"  lay-verType="partnerKey" placeholder="请输入电子面单密码"
                               autocomplete="off" class="layui-input" value="">
                    </div>
                </div>
                 <div class="layui-form-item">
                    <label class="layui-form-label"></label>
                    <span style="color: #a3a3a3;font-size: 9px">电子面单账户密码，需向快递公司在贵司当地的网点申请</span>
                  </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">面单密钥：</label>
                    <div class="layui-input-inline">
                        <input type="text" name="partnerSecret"  lay-verType="partnerSecret" placeholder="请输入电子面单密钥"
                               autocomplete="off" class="layui-input" value="">
                    </div>
                </div>
                 <div class="layui-form-item">
                    <label class="layui-form-label"></label>
                    <span style="color: #a3a3a3;font-size: 9px"> 电子面单密钥，需向快递公司在贵司当地的网点申请;</span>
                  </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">面单客户：</label>
                    <div class="layui-input-inline">
                        <input type="text" name="partnerName"  lay-verType="partnerName" placeholder="请输入电子面单客户账户名称"
                               autocomplete="off" class="layui-input" value="">
                    </div>
                </div>
                 <div class="layui-form-item">
                    <label class="layui-form-label"></label>
                    <span style="color: #a3a3a3;font-size: 9px"> 电子面单客户账户名称，需向快递公司在贵司当地的网点申请;</span>
                  </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">网点名称：</label>
                    <div class="layui-input-inline">
                        <input type="text" name="net"  lay-verType="net" placeholder="请输入网点名称"
                               autocomplete="off" class="layui-input" value="">
                    </div>
                </div>
                 <div class="layui-form-item">
                    <label class="layui-form-label"></label>
                    <span style="color: #a3a3a3;font-size: 9px"> 网点名称，需向快递公司在贵司当地的网点申请;</span>
                  </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">承载编号：</label>
                    <div class="layui-input-inline">
                        <input type="text" name="code"  lay-verType="code" placeholder="请输入电子面单承载编号"
                               autocomplete="off" class="layui-input" value="">
                    </div>
                </div>
                 <div class="layui-form-item">
                    <label class="layui-form-label"></label>
                    <span style="color: #a3a3a3;font-size: 9px"> 电子面单承载编号，需向快递公司在贵司当地的网点申请;</span>
                  </div>
                <div class="layui-form-item">
                    <label class="layui-form-label"><span class="tips">*</span>支付方式：</label>
                    <div class="layui-input-block">
                        <div class="layui-col-md4">
                            <input type="radio" name="payType" value="0" title="寄方付" checked>
                            <input type="radio" name="payType" value="1" title="到付">
                            <input type="radio" name="payType" value="2" title="月结">
                            <input type="radio" name="payType" value="3" title="第三方支付">
                        </div>
                    </div>
                </div>
                 <div class="layui-form-item text-center">
                    <button class="layui-btn" type="submit">保存</button>
                </div>
            </div>
        </div>
    </div>
</div>
</form>



